Doctor: It's reasonable to perform surgery on yourself.

In the Union Hospital meeting room, many people also frowned.

Apparently, they also found a suspicious point.

Director Xie looked back and found that Xiao Tong from the infectious department also frowned and flipped through the blood draw, bacterial culture and other reports on the table, with an increasingly puzzled expression.

He called Tong Nianzhen and said, "You stand up and talk."

Tong Nianzhen sorted out the medical records at hand, stood up, looked at Xu Qiu on the screen, and said seriously, "Doctor Xu, you think this is recurrent polychondritis, but both the other hospital and our Union Hospital have conducted multiple bacterial cultures on the patient.

In addition, we have also adopted antibiotic coverage therapy, but the effect is not good..."

Xu Qiu seemed to have expected the other party to have such doubts, and said calmly, "Because there is no bacterial infection at all."

"No? How could it be..."

Tong Nianzhen lowered her head and muttered, her brain was also running fast, and suddenly, her eyes lit up, and she raised her head abruptly, "You mean... aseptic inflammation?!"

Xu Qiu nodded.

It was aseptic inflammation!

Antibiotics and various anti-inflammatory methods are only used for bacterial reproduction and infection. If there are no pathogenic bacteria in the patient's body, of course they are useless.

"I understand, I understand..."

In the Union Hospital meeting room, a group of directors suddenly realized and suddenly felt that they were fooled by this disease.

They checked for so long and finally identified it as non-tuberculous mycobacteria, but... it turned out to be aseptic inflammation caused by immune system diseases!

At this moment, the director of Union Hospital's Immunology Department could not sit still. He said excitedly: "So, our treatment direction is all wrong. Antibiotics can't work, and anti-tuberculosis drugs are just comforting. We should use glucocorticoids and immunosuppressants... follow the treatment of rheumatoid arthritis?"

Xu Qiu nodded: "Yes."

At this moment, the whole audience fell into silence.

On the Union Hospital side, many directors looked at Xu Qiu eagerly, their eyes were shining.

And at the meeting venue of Jinghai People's Hospital, everyone felt like they were dreaming.

Is Union Hospital's diagnosis wrong?

A 24-year-old doctor pointed out the mistakes that all the big guys didn't realize, and finally gave the correct diagnosis... Young doctors have had this dream.

However, they are often woken up by the alarm clock for early handover when they are about to get promoted and get a raise.

However, at this moment, such a plot actually happened in reality!

"Oh my God..."

"How to score this? The director of Union Hospital is all wrong, and his diagnosis is correct!"

"Even if the director of Union Hospital comes to this test, he can't get a high score!"

...

When the video consultation ended, Wang San was transferred to Jinghai People's Hospital and the treatment plan was urgently changed. The previous azithromycin, ethambutol, etc. were all stopped and replaced with glucocorticoids, immunosuppressants, etc.

Most immune system diseases have no specific medicine.

Like ankylosing spondylitis, relapsing polychondritis also has no specific treatment and can only be suppressed.

If you can adjust the immune system and correct the disordered body functions, you will naturally recover.

The specific efficacy will take several days or even weeks to see the results.

However, one hour after the bloodletting therapy, the patient's temperature dropped.

This undoubtedly released an excellent signal - this treatment found the root of the disease!

At the venue, the chief examiner, Qiu Qingwen and others were in a dilemma.

The results of the first and second rounds were all out, and the scoring criteria were also formulated at the beginning - according to the idea of ​​the director of Union Hospital.

Now everything is in chaos, how to score?

This is a national competition for young elite doctors held every three years. Many people can only participate once when they are close to the age of 30, and it is also the last time.

The only chance in this life.

It is unfair to anyone to temporarily change the scoring criteria.

"Why don't you ask Xu Qiu directly?"

At this time, Wang Shengde came over with a smile and suggested.

"Ask Xu Qiu? How can you ask him!" Qiu Qingwen immediately refuted.

The chief examiner suddenly fell silent.

Xu Qiu's identity is a contestant, a referee, and a contestant, which is indeed not in line with the rules.

But...

For this patient and this disease, the director of Union Hospital was wrong from beginning to end, and Xu Qiu's answer was the correct answer.

From an academic point of view, Xu Qiu's thinking is the most correct, and his clinical thinking should perhaps be the scoring standard for this assessment.

However, if this is done, it will be bad news for other teams.

Qiu Qingwen and the chief examiner had complained before that Xu Qiu's diagnostic process was too unconventional and different from everyone else.

Now if his is taken as the correct answer, then the highest score for others is only 30 or 40 points, and basically they will say goodbye to this competition completely.

It is a disguised recommendation for Linhai First Hospital to qualify!

The chief examiner thought for a long time, sighed, and said: "Please ask Xu Qiu to come over, let's discuss how to score this round."

...

A few minutes later, Xu Qiu was invited to the examiner's seat.

All teams became nervous.

How could they not know the meaning of this move.

"It's over, is the captain of Linhai First Hospital going to be recommended?"

"Our session probably ends here. Alas, the scoring standard must be changed now, and all of us have to get low scores!"

"I'm a little unwilling... How could Union Medical College be wrong?"

"I really don't feel convinced. There is nothing wrong with our clinical logic. This should be the correct diagnostic sequence. Why should we be eliminated directly just because he got it right by luck!"

"Alas, I am not as good as others. I can only admit defeat!"

"..."

Everyone was in a very low mood.

Some people even stood up and prepared to leave the venue.

At this time, in the examiner's seat.

After Xu Qiu learned about the examiner's concerns, he shook his head and said, "Just follow the previous standards."

All the examiners and the dean were stunned.

"Why?" The examiner's eyes widened in surprise.

Xu Qiu glanced at the score sheet on the table. The 10 points and 0 points of his team in the first two rounds were very eye-catching.

His expression did not fluctuate at all, and he explained, "Because other doctors really have no way to rule out diphtheria as soon as they come into contact with the patient."

The examiner was stunned.

What does this mean... Others can't, but Xu Qiu can?

How crazy!

But, thinking of Xu Qiu's performance, everyone was silent again.

The other party is not crazy, he really has this ability!

Xu Qiu calmly picked up the test paper, looked at a few points, and finally picked out Li Shi's answer from the first group, saying: "Based on this answer, this is the correct clinical thinking that ordinary doctors should have."

The examiner glanced at it.

Indeed, Li Shi's answer was exactly the same as the diagnosis order of the directors of Union Hospital, which was the standard answer.

At this time, Qiu Qingwen asked again: "Then...how do you calculate your scores in the previous two rounds?"

According to Xu Qiu, if Li Shi's answer was used as the standard, then Xu Qiu's test paper would still be 0 points!